Psychological well-being in cardiac patients and healthy people in Guilan

Document Type : Research Paper

Authors

1 Associate Professor in cardiology, Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

2 General physician, Guilan University of Medical Sciences, Rasht, Iran

3 Assistant Professor in preventive and community medicine, Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

4 MS. in clinical psychology, Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

5 MS. in general psychology, Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Abstract

Introduction: Psychological well-being (PWB) and having a meaningful life play a role in reducing the incidence and mortality of cardiac disease. The aim of this study is to assess PWB in two groups of people with heart disease and healthy people.
Materials and Methods: This descriptive study was performed in two groups of people with heart disease and healthy people referring to a cardiac clinic of Heshmat Hospital in Rasht from Feb to July 2016. Ryff’s PWB and demographic information were completed for all the participants. Average grade of welfare and six subscales both groups were compared using independent t-test. Relevance of well-being score with variables was surveyed using multiple linear regression model.
Results: Number of 88 cases entered in the study with the average age of 50.47±15.88 year. Total score was 80.50±10.44 in ill group and 87.66±8.75 in healthy group which was significantly higher in healthy group (P=0.001). The results showed that the score of well-being in people without cardiac disease is 8.7 units more than the group suffering from it. It also showed that the score of well-being in individuals without hypertention is 3.5 units higher than those who are hypertention. No significant relevance was observed between other demographic variables and well-being score.
Conclusion: In this study cardiac disease and hypertention were considered as factors related to well-being status. Futuristic longitudinal studies to survey the occurance of cardiac disease in individuals with various well-being score and executing plans to improve well-being situation as a preventive factor is recommended.

Keywords


  1. Bok S. Rethinking the WHO definition of health. Harvard Center for Population and Developmental Studies. Work Pap Ser 2004; 14(7): 21.
  2. Sayers J. The world health report 2001-Mental health: new understanding, new hope. Bull World Health Organ 2001; 79(11): 1085.
  3. Ryff CD, Singer B. The contours of positive human health. Psychol Inq 1998; 9(1): 1-28.
  4. Keyes CL, Shmotkin D, Ryff CD. Optimizing well-being: the empirical encounter of two traditions. J Pers Soc Psychol 2002; 82(6): 1007-22.
  5. Ryff CD. Psychological well-being in adult life. Curr Dir Psychol Sci 1995; 99-104.
  6. Huppert FA. Psychological well‐being: Evidence regarding its causes and consequences. Appl Psychol Health Well-Being 2009; 1(2): 137-64.
  7. Ryff CD, Singer B. Human health: New directions for the next millennium. Psychol Inq 1998; 9(1): 69-85.
  8. Krueger AB, Schkade DA. The reliability of subjective well-being measures. J Public Econ 2008; 92(8): 1833-45.
  9. Davidson KW, Mostofsky E, Whang W. Don't worry, be happy: positive affect and reduced 10-year incident coronary heart disease: the Canadian Nova Scotia Health Survey. Eur Heart J 2010; 31(9): 1065-70.
  10. Boehm JK, Kubzansky LD. The heart's content: the association between positive psychological well-being and cardiovascular health. Psychol Bull 2012; 138(4): 655-91.
  11. Boehm JK, Peterson C, Kivimaki M, Kubzansky L. A prospective study of positive psychological well-being and coronary heart disease. Health Psychol 2011; 30(3): 259-67.
  12. Erikson EH. Identity and the life cycle: Selected papers. Psychological issues 1959; 1: 1-171.
  13. McAuley E, Rudolph DL. Physical activity, aging, and psychological well-being. J Aging Phys Act 1995; 3(1): 67-96.
  14. King P. The concept of well-being and its application in a study of ageing in Aotearoa. New Zealand: EWAS Working Paper Series; 2007.
  15. Myers DG, Diener E. Who is happy? Psychol Sci1995; 6(1): 10-9.
  16. Dehnavi SR, Heidarian F, Ashtari F, Shaygannejad V. [Psychological well-being in people with multiple sclerosis in an Iranian population]. Journal of research in medical sciences 2015; 20(6): 535-9.) Persian(
  17. Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol 1989; 57(6): 1069-81.
  18. Ryff CD, Keyes CLM. The structure of psychological well-being revisited. J Pers Soc Psychol 1995; 69(4): 719-27.
  19. Van Dierendonck D. The construct validity of Ryff's Scales of Psychological Well-being and its extension with spiritual well-being. Pers Individ Dif 2004; 36(3): 629-43.
  20. Schmutte PS, Ryff CD. Personality and well-being: reexamining methods and meanings. J Pers Soc Psychol 1997; 73(3): 549-59.
  21. Vahedi Sh GS, Vahedi Sh, Ghanizadeh S. [Path analysis model between intrinsic religious motivation, praying, spiritual wellbeing and quality of life with psychological well-being of college students]. Journal of health psychology 2008; 3(2): 27-42. )Persian(
  22. Dastjerdi R FV, Kadiva P. [The role of five big personality factors in predicting psychological wellbeing]. Journal of Birjand University of Medical Sciences 2011; 18(2): 126-33. )Persian(
  23. Giltay EJ, Kamphuis MH, Kalmijn S, Zitman FG, Kromhout D. Dispositional optimism and the risk of cardiovascular death: the Zutphen Elderly Study. Arch Intern Med 2006; 166(4): 431-6.
  24. Tindle HA, Chang Y, Kuller LH, Manson JE, Robinson JG, Rosal MC, et al. Optimism, hostility and incident coronary heart disease and mortality in the Women's Health Initiative. Circulation 2009; 120(8): 656-62.
  25. Kubzansky LD, Thurston RC. Emotional vitality and incident coronary heart disease: benefits of healthy psychological functioning. Arch Gen Psychiatry 2007; 64(12): 1393-401.
  26. Tanno K, Sakata K, Ohsawa M, Onoda T, Itai K, Yaegashi Y, et al. Associations of Ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: findings from the Japan Collaborative Cohort Study. J Psychosom Res 2009; 67(1): 67-75.
  27. Koizumi M, Ito H, Kaneko Y, Motohashi Y. Effect of having a sense of purpose in life on the risk of death from cardiovascular diseases. J Epidemiol 2008; 18(5): 191-6.
  28. Chida Y, Steptoe A. Positive psychological well-being and mortality: A quantitative review of prospective observational studies. Psychosom Med 2008; 70(7): 741-56.
  29. Seki N. [Relationships between walking hours, sleeping hours, meaningfulness of life (Ikigai) and mortality in the elderly: prospective cohort study]. Nihon Eiseigaku Zasshi 2001; 56(2): 535-40. (Japanese)
  30. Trudel-Fitzgerald C, Boehm JK, Kivimaki M, Kubzansky LD. Taking the tension out of hypertension: a prospective study of psychological well being and hypertension. J Hypertens 2014; 32(6): 1222-8.
  31. Boylan JM, Ryff CD. Psychological well-being and metabolic syndrome: Findings from the midlife in the United States national sample. Psychosom Med 2015; 77(5): 548-58.
  32. Ferreri-Carbonell A. Income and well-being: an empirical analysis of the comparison income effect. J Public Econ 2005; 89(5): 997-1019.
  33. Kahneman D, Deaton A. High income improves evaluation of life but not emotional well-being. Proc Natl Acad Sci 2010; 107(38): 16489-93.
  34. Endrighi R, Hamer M, Steptoe A. Associations of trait optimism with diurnal neuroendocrine activity, cortisol responses to mental stress, and subjective stress measures in healthy men and women. Psychosom Med 2011; 73(8): 672-8.
  35. Ikeda A, Schwartz J, Peters JL, Fang S, Spiro III A, Sparrow D, et al. Optimism in relation to inflammation and endothelial dysfunction in older men: the VA Normative Aging Study. Psychosom Med 2011; 73(8): 664-71.
  36. Joutsenniemi K, Härkänen T, Pankakoski M, Langinvainio H, Mattila AS, Saarelma O, et al. Confidence in the future, health-related behavior and psychological distress: results from a web-based cross-sectional study of 101 257 Finns. BMJ Open 2013; 3(6): e002397.
  37. Srivastava S, McGonigal KM, Richards JM, Butler EA, Gross JJ. Optimism in close relationships: How seeing things in a positive light makes them so. J Pers Soc Psychol 2006; 91(1): 143.